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Vulvovaginitis - Treatment

Nombres alternativos

Vaginitis; Inflamación vaginal; Inflamación de la vagina

Tratamiento:

El tratamiento depende de lo que esté causando la infección y puede incluir:

  • Antibióticos por vía oral o aplicados a la piel
  • Crema antimicótica
  • Crema antibacteriana
  • Crema de cortisona
  • Antihistamínico, si la irritación se debe a una reacción alérgica
  • Crema de estrógenos, si la irritación o la inflamación se deben a niveles bajos de estrógeno

Una limpieza apropiada es importante y puede ayudar a prevenir la irritación, particularmente en aquellas personas con infecciones causadas por bacterias que normalmente se encuentran en las heces. Se pueden recomendar baños de asiento.

Con frecuencia, ayuda el hecho de permitir que la zona genital esté más aireada. Usted puede hacer esto:

  • Usando ropa interior de algodón (en lugar de nylon) o ropa interior con forro de algodón en la entrepierna. Esto incrementa el flujo de aire y disminuye la humedad.
  • Durmiendo sin ropa interior.

Nota: si se diagnostica una enfermedad de transmisión sexual, es muy importante que cualquiera otra pareja sexual también reciba tratamiento, incluso así no tenga síntomas. Si su pareja sexual está infectada pero no ha sido tratada, usted está en riesgo de volver a infectarse una y otra vez.

Expectativas (pronóstico):

El tratamiento adecuado de la infección es normalmente muy efectivo.

Complicaciones:

  • Molestia persistente
  • Infección superficial de piel (producto de rascarse)
  • Complicaciones de la afección causal (tales como gonorrea e infección por cándida)

Situaciones que requieren asistencia médica:

Consulte con el médico si se presentan síntomas de vulvovaginitis o si la vulvovaginitis diagnosticada no responde al tratamiento.

  • Reviewed last on: 6/5/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Eckert LO, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 22.

Sanfilippo JS. Vulvovaginitis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 549.

McCormack WM. Vulvovaginitis and cervicitis. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 107.

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